Individual
SHANNON C MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, FCP
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225100000X
Physical Therapist
Primary
7619140-2401
UT
Other
Enumeration date
09/22/2008
Last updated
03/23/2021
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